Provider Demographics
NPI:1104049170
Name:YOLANDA WHITTAKER HILLIARD MD PA
Entity type:Organization
Organization Name:YOLANDA WHITTAKER HILLIARD MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:LAVERN
Authorized Official - Last Name:WHITTAKER HILLIARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-614-7777
Mailing Address - Street 1:2020 BABCOCK RD
Mailing Address - Street 2:SUITE 29 A
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-4443
Mailing Address - Country:US
Mailing Address - Phone:210-614-7777
Mailing Address - Fax:210-614-3049
Practice Address - Street 1:2020 BABCOCK RD
Practice Address - Street 2:SUITE 29 A
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4443
Practice Address - Country:US
Practice Address - Phone:210-614-7777
Practice Address - Fax:210-614-3049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2011-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF7302207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Single Specialty